Urgentní endoskopická papilosfinkterotomie u osob starších 70 let.
|Title in English
|Urgent endoscopic papilosphincterotomy in individuals plder than 70years.
|Year of publication
|Article in Periodical
|Magazine / Source
|MU Faculty or unit
|Other specializations of internal medicine
|pankreatitida-cholangiitida-endoskopická papilotomie-starší populace
|Therapeutic endoscopy of acute pancreatobiliary conditions is represented in absolute majority of cases by endoscopic papilosfincterotomy performed after verification of finding in biliary duct and pandreatic duct by means of endoscopic retrograde cholangiopancreatogrphy. Endoscopic operation is, of course, invasive performance that burdens the patients, therefore it is also accompanied with possible complications. In elderly individuals a risk factor of performance is undoubtedly polymorbidity, especially cardivaskular and bronchopulmonary diseases. In prospective study with individuals older than 70 years with acute cholangitis and acute biliary pancreatis we evaluated performance safety and its effectivity as regards to the influence on course of disease. We demonstrated that endoscopic papilosfincterotomy in mentioned conditions is safe performance, significantly favourably inflicting further development of the disease even in elderly patients.